FORM ENT VI (See rule 9 (1)) RETURN OF TAX PAYABLE BY ASEESSEE UNDER the Goa Entertainment Tax Act, 1964 Return Period: From.....To..... 1 Registration Certificate No. Under (a) Goa Entertainment Tax Act 1964 (b) Goa Value Added Tax Act, 2005 (TIN) (c) Goa Tax on Luxuries Act, 1988 2 Name and Address of the Assessee 3 Compilation of turnover liable for taxation (a) Total turnover for admission charges (b) Deductions (i) Total turnover for admission charges not exigible to tax (ii) Total turnover for admission charges exempt from tax u/s 5 of the Goa Entertainment Tax Act 1964 (iii) Others (give details) TOTAL DEDUCTIONS (i) to (iii) (c) TAXABLE TURNOVER (a) -(b) 4 Tax payable under Schedule A (For Cinema Halls and Theaters) Item TTO (Rs.) Rate Of Tax % Tax Payable (Rs.) Item TTO (Rs.) Rate Of Tax % Tax Payable (Rs.) 1(b) 30 3(d) (ii) 15 1 (c) 40 4 (a) (i) 10 2 30 4(a) (ii) 15 2 120 4 b(ii) 10 3(b) 10 4 (b) (iii) 15 3 (c) 20 TOTAL 5 Tax payable under Schedule B (For Cruise Operators) Item TTO (Rs.) Rate Of Tax % Tax Payable (Rs.) Item TTO (Rs.) Rate Of Tax % Tax Payable (Rs.) 1 15 2 10 TOTAL 6 Tax payable under Schedule C (For Cable Operators) Item TTO (no of Connectio ns) Tax Rs, per Connect ion Tax Payable (Rs.) Item ItemT TO (no of Conn ectio ns) Rate of Tax Rs, per Connection Tax Payable (Rs.) (i) 10 (iv) 105% (ii) 15 (v) 20 (iii) 10 TOTAL (i)+(ii)+(iii)+(v)+(iv) (v) 20 7 Tax payable under Schedule D ( For Casinos) Item No. of PAX Rate Of Tax/ PAX Tax Payable (Rs.) Item TTO (Rs.) Rate Of Tax % Tax Payable (Rs.) 1(a) (i) 10/ PAX 1(b) 200 /PAX 1 (a) (ii) 200/ PAX 1(c) 10% 1(b) 200 /PAX Lump Sum charges for Casino Entry as per proviso to Schedule D @ Rs.10/-/room/month TOTAL Rs. 8 TOTAL( 4+5+6+7) Rs. /- ( Rs.....................) 9 Challan No. Date Period The signatory certifies that the returns are true and correct. Signature and name
